Contracted Health Insurance Networks and Determining Patient Payment

The out-of-pocket expense an insured patient may incur is dependent on multiple factors, including the benefit plan with their insurance, the contracted reimbursement rate between Premier and the insurer, and whether the patient and/or their family has already met certain deductible thresholds.  Most Premier Health patients have health insurance through the following networks, all of which are contracted with and in-network for the four Premier Health hospitals.

Commercial Insurance Networks

  • Anthem
  • Blue Cross / Blue Shield
  • UnitedHealthcare
  • Medical Mutual of Ohio
  • Aetna
  • Cigna
  • Emerald
  • First Health
  • Great West
  • HealthSmart
  • Healthspan
  • Healthspan Butler Health Plan & Optimal Health Initiatives
  • Humana
  • Ohio Health Choice
  • Private Healthcare Systems (PHCS)
  • Tricare / Champus
  • United Behavioral Health
  • Welborn

Medicare HMO/PPO Networks

  • Anthem Medicare also known as Anthem Senior Advantage
  • UnitedHealthcare Medicare Complete also known as Secure Horizons
  • Humana Medicare Choice PPO & Humana Medicare Gold
  • Aetna Medicare
  • Medigold

Medicaid Managed Care Plans

  • Amerigroup
  • CareSource
  • Buckeye
  • Paramount
  • UHC Medicaid

    Physician Support CO